4  And the third angel poured out his vial upon the rivers and fountains of waters; and they became blood.

5  And I heard the angel of the waters say, Thou art righteous, O Lord, which art, and wast, and shalt be, because thou hast judged thus.

6  For they have shed the blood of saints and prophets, and thou hast given them blood to drink; for they are worthy.

7  And I heard another out of the altar say, Even so, Lord God Almighty, true and righteous are thy judgments.

When the third angel pours out his vial all the fresh water on the earth will also be turned to blood. God is giving them blood to drink because they have slaughtered His saints and prophets. These judgments are repayment for those that were slaughtered for their faith at the hands of “Babylon the Great” (chapter 18). The angel that kept these martyred souls under the altar testifies that God’s judgments on these people on earth are deserving and just. 

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Old Testament

New Testament